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1.
Pharmazie ; 75(6): 240-241, 2020 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-32539917

RESUMEN

The objective of this study was to determine the content and evaluate the potential antioxidant effect of tocopherols in commercially available lipid emulsions, using a simple validated method adequate for further routine use. During the study, variability between manufacturers as well as between three non-consecutive batches of the same emulsion was observed. Furthermore, addition of α-tocopherol to lipid emulsions as excipient yields more stable emulsions and potentially a beneficial clinical effect. It was concluded that the variation of the tocopherol content between batches implies the importance of control and specification of tocopherol content by the manufacturers.


Asunto(s)
Antioxidantes/análisis , Lípidos/química , Tocoferoles/análisis , alfa-Tocoferol/análisis , Antioxidantes/farmacología , Estabilidad de Medicamentos , Emulsiones , Nutrición Parenteral , Tocoferoles/farmacología
2.
Pharm Dev Technol ; 21(6): 688-97, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26017851

RESUMEN

CONTEXT: Although tablet coating processes are widely used in the pharmaceutical industry, they often lack adequate robustness. Up-scaling can be challenging as minor changes in parameters can lead to varying quality results. OBJECTIVE: To select critical process parameters (CPP) using retrospective data of a commercial product and to establish a design of experiments (DoE) that would improve the robustness of the coating process. MATERIALS AND METHODS: A retrospective analysis of data from 36 commercial batches. Batches were selected based on the quality results generated during batch release, some of which revealed quality deviations concerning the appearance of the coated tablets. The product is already marketed and belongs to the portfolio of a multinational pharmaceutical company. RESULTS: The Statgraphics 5.1 software was used for data processing to determine critical process parameters in order to propose new working ranges. DISCUSSION AND CONCLUSIONS: This study confirms that it is possible to determine the critical process parameters and create design spaces based on retrospective data of commercial batches. This type of analysis is thus converted into a tool to optimize the robustness of existing processes. Our results show that a design space can be established with minimum investment in experiments, since current commercial batch data are processed statistically.


Asunto(s)
Química Farmacéutica/métodos , Comprimidos Recubiertos/síntesis química , Química Farmacéutica/normas , Estudios Retrospectivos , Comprimidos Recubiertos/normas
3.
Heredity (Edinb) ; 115(5): 444-51, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25990877

RESUMEN

Genes with relevant roles in the differentiation of closely-related species are likely to have diverged simultaneously with the species and more accurately reproduce the species tree. The Lusitanian (Microtus lusitanicus) and Mediterranean (M. duodecimcostatus) pine voles are two recently separated sister species with fossorial lifestyles whose different ecological, physiological and morphological phenotypes reflect the better adaptation of M. duodecimcostatus to the underground habitat. Here we asked whether the differentiation of M. lusitanicus and M. duodecimcostatus involved genetic variations within the tumour suppressor p53 gene, given its role in stress-associated responses. We performed a population-genetic analysis through sequencing of exons and introns of p53 in individuals from sympatric and allopatric populations of both the species in the Iberian Peninsula in which a unidirectional introgression of mitochondrial DNA was previously observed. We were able to discriminate the two species to a large extent. We show that M. duodecimcostatus is composed of one genetically unstructured group of populations sharing a P53 protein that carries a mutation in the DNA-binding region not observed in M. lusitanicus, raising the possibility that this mutation may have been central in the evolutionary history of M. duodecimcostatus. Our results provide suggestive evidence for the involvement of a master transcription factor in the separation of M. lusitanicus and M. duodecimcostatus during Microtus radiation in the Quaternary presumably via a differential adaptive role of the novel p53 in M. duodecimcostatus.


Asunto(s)
Arvicolinae/genética , Genes p53 , Variación Genética , Genética de Población , Animales , Arvicolinae/clasificación , ADN Mitocondrial/genética , Evolución Molecular , Exones , Haplotipos , Intrones , Datos de Secuencia Molecular , Filogenia , Análisis de Secuencia de ADN , España , Especificidad de la Especie , Simpatría
4.
Int J Pharm ; 478(1): 328-340, 2015 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-25433200

RESUMEN

The study of controlled release and drug release devices has been dominated by considerations of the bulk or average properties of material or devices. Yet the outermost surface atoms play a central role in their performance. The objective of this article has been to characterize the surface of hydrophilic matrix tablets using the contact angle (CA) method to ascertain the surface free energy, and atomic force microscopy (AFM) and confocal microscopy (CM) for the physical characterization of the surface of the hydrophilic matrix. The surface free energy results obtained show that hydroxypropylmethylcellulose K15M hinders the spreading of water on the surface of the tablet, such that the concentration of HPMC K15M increases the reaction rate of the hydrophobic interactions between the chains of HPMC K15M which increases with respect to the rate of penetration of water into the tablet. In this study, we developed a new method to characterize the swelling of the tablets and established a relationship between the new method based on microswelling and the swelling ratio parameter. The surface texture parameters have been determined and the morphology of the tablets of the different formulations and the evolution of the surface morphology after interacting with the water, swelling and forming a gel layer were characterized. This work represents significant progress in the characterization of matrix tablets.


Asunto(s)
Preparaciones de Acción Retardada/química , Comprimidos/química , Captopril/química , Excipientes/química , Interacciones Hidrofóbicas e Hidrofílicas , Derivados de la Hipromelosa/química , Microscopía de Fuerza Atómica , Microscopía Confocal , Solubilidad , Propiedades de Superficie , Humectabilidad
5.
Int J Pharm ; 477(1-2): 431-41, 2014 Dec 30.
Artículo en Inglés | MEDLINE | ID: mdl-25445523

RESUMEN

The aim of this study is to obtain swelling controlled release matrix tablets of captopril using the Quality by Design methodology (ICH Q8) and to know the transport mechanisms involved in captopril release. To obtain the area of knowledge, the design of experiments studying the effect of two components (HPMC K15M and ethylcellulose) at different levels has been applied, with the captopril dissolution profile as the product's most important critical quality attribute (CQA). Different dissolution profiles have been obtained with the design of experiments performed, which is a key factor in the development of controlled release matrix tablets. Kinetic analysis according to the equations of Higuchi and Korsmeyer-Peppas demonstrates that the release mechanism is a mechanism of erosion when the whole percentage of the polymer is ethylcellulose, and a diffusion mechanism when the whole percentage of the polymer is HPMC K15M. The physico-chemical characteristics of the gel layer determine the release rate of captopril. The thickness of the gel layer, the porosity which is formed in the matrix upon contact with water, pore size, the swelling rate, the erosion rate of the matrix, and the physico-chemical characteristics of captopril, are factors related to the kinetic equations described and that allow us to predict the release mechanism of captopril. A new relationship of the kinetic equations governing the in vitro behavior with the physical characteristics of the gel layer of the different formulations has been established. This study shows that the size of water-filled pores and the degree of crosslinking between the chains of HPMC K15M of the matrix are related to the exponent n of the Korsmeyer-Peppas equation and the type of transport of the captopril from within the matrix to the dissolution medium, that is, if the transport is only through water-filled pores, or if a combination of diffusion occurs through water-filled pores with a transport through continuous polymeric networks.


Asunto(s)
Captopril/química , Celulosa/química , Liberación de Fármacos , Excipientes/química , Derivados de la Hipromelosa/química , Captopril/administración & dosificación , Química Farmacéutica , Cinética , Microscopía Electrónica de Rastreo , Tamaño de la Partícula , Porosidad , Solubilidad , Propiedades de Superficie , Comprimidos
6.
Int J Pharm ; 461(1-2): 38-45, 2014 Jan 30.
Artículo en Inglés | MEDLINE | ID: mdl-24284019

RESUMEN

The SeDeM diagram expert system has been used to study excipients, Captopril and designed formulations for their galenic characterization and to ascertain the critical points of the formula affecting product quality to obtain suitable formulations of Captopril direct compression SR matrix tablets. The application of the SeDeM diagram expert system enables selecting excipients with in order to optimize the formula in the preformulation and formulation studies. The methodology is based on the implementation of ICH Q8, establishing the design space of the formula with the use of experiment design, using the parameters of the SeDeM diagram expert system as system responses.


Asunto(s)
Inhibidores de la Enzima Convertidora de Angiotensina/química , Captopril/química , Química Farmacéutica/métodos , Excipientes/química , Inhibidores de la Enzima Convertidora de Angiotensina/administración & dosificación , Captopril/administración & dosificación , Preparaciones de Acción Retardada , Composición de Medicamentos/métodos , Sistemas Especialistas , Presión , Comprimidos , Tecnología Farmacéutica/métodos
7.
Int J Pharm ; 460(1-2): 181-8, 2014 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-24177314

RESUMEN

The parameters influencing alginate ionotropic gelation and the production of alginate beads loaded with hydrosoluble ibuprofen lysine salt (IBU-L) were studied, as well as the optimization of the method for its attainment. A three-factor and three-level factorial design (3(3)) was carried out to determine the influence of three experimental variables: polymer concentration, CaCl2 concentration, and curing time on the dependent variables drug load and encapsulation efficiency. The effect of the pH used in the preparation bath was also evaluated. Concentrations of CaCl2 and pH of gelling bath were seen to affect bead formation and stability as well as their ability to properly entrap the drug. In this work, IBU-L was used as a model of a non-steroidal anti-inflammatory drug with good solubility in alginate solutions. IBU-L was successfully encapsulated in alginate beads obtained by the ionotropic gelation method. The obtained alginate matrixes are able to modify the release of the entrapped IBU-L and this occurs in a pH-sensitive way that can be correlated with the swelling behaviour of the alginate-produced beads. Morphological characteristics were evaluated by means of scanning electron microscopy.


Asunto(s)
Alginatos/química , Antiinflamatorios no Esteroideos/química , Portadores de Fármacos/química , Ibuprofeno/análogos & derivados , Lisina/análogos & derivados , Cloruro de Calcio/química , Preparaciones de Acción Retardada/química , Composición de Medicamentos , Ácido Glucurónico/química , Ácidos Hexurónicos/química , Concentración de Iones de Hidrógeno , Ibuprofeno/química , Lisina/química , Microscopía Electrónica de Rastreo
8.
Environ Entomol ; 42(6): 1383-9, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24280412

RESUMEN

The response of the codling moth (Cydia pomonella L. (Lepidoptera: Tortricidae)) to different emission values of its main pheromone component, 8E,10E-dodecadien-1-ol (codlemone), was investigated in three field trials conducted in plots without mating disruption treatments. Moth catches obtained in traps baited with pheromone dispensers were correlated with the corresponding codlemone release rates by multiple regression analysis. In a preliminary trial conducted in Lleida (NE Spain), a decreasing trend of captures was observed based on increasing pheromone levels. After this, the pheromone release profiles of the pheromone dispensers were studied, in parallel with the field trials, by residual codlemone extraction and gas chromatography quantification. In the trials carried out in Asturias (NW Spain), a correlation between trap catches and emission levels (within the range from 11 to 1,078 µg/d) was found and fitted a logarithmic model. Captures followed a decreasing linear trend in the range of emission rates from 11 to 134 µg/d. Given that release values comprised between 11 and 67 µg/d did not lead to significantly different catches in traps, this emission range could be considered to develop effective formulations for attraction purposes when mating disruption is not acting in the environment.


Asunto(s)
Mariposas Nocturnas/efectos de los fármacos , Feromonas/administración & dosificación , Animales , Clima , Relación Dosis-Respuesta a Droga , Análisis de Regresión , España
9.
Int J Pharm ; 446(1-2): 199-204, 2013 Mar 25.
Artículo en Inglés | MEDLINE | ID: mdl-23434543

RESUMEN

Ionic gelation is the most frequently used method to obtain chitosan-tripolyphosphate nanoparticles due to its simplicity and because it does not generate waste solvents in the samples prepared. This paper presents a study of the physical factors involved in this method for obtaining nanoparticles in order to determine which of them significantly influences the particle size of polymeric nanoparticles made from low-molecular-weight chitosan, without any additional chemical treatment, with the aim of standardising and optimising the method conditions, in addition to establishing the reaction yield. The results indicate that stirring speed during ionic gelation reaction is decisive for the size of the nanoparticles obtained. Furthermore, it thus follows that the stirring speed during ionic gelation significantly affects reaction yield, and therefore, by manipulating this parameter a greater proportion of nanoparticles of a given size range can be obtained.


Asunto(s)
Quitosano/química , Nanopartículas/química , Polifosfatos/química , Composición de Medicamentos/métodos , Geles , Microscopía de Fuerza Atómica , Tamaño de la Partícula
10.
PDA J Pharm Sci Technol ; 63(1): 42-57, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19455941

RESUMEN

This paper presents a useful method using total organic carbon analyzers employing both combustion and wet oxidation for validating equipment cleaning procedures and verifying cleaning in a pharmaceutical pilot plant. The results are compared with those obtained using high-performance liquid chromatography. The study summarizes the initial steps that should be taken into account and focuses particularly on the solutions to some of the most critical considerations (e.g., glass material, detection and quantification limits, recovery). Also described are the calculation of control limits and the good results obtained.


Asunto(s)
Cromatografía Líquida de Alta Presión , Contaminación de Medicamentos/prevención & control , Industria Farmacéutica , Contaminación de Equipos/prevención & control , Arquitectura y Construcción de Instituciones de Salud , Compuestos Orgánicos/análisis , Tecnología Farmacéutica/métodos , Diseño de Equipo , Oxidación-Reducción , Reproducibilidad de los Resultados , Tecnología Farmacéutica/instrumentación , Tecnología Farmacéutica/normas
11.
Parasitol Res ; 102(6): 1243-7, 2008 May.
Artículo en Inglés | MEDLINE | ID: mdl-18278586

RESUMEN

The aim of the present study was to evaluate the in vitro activity and cytotoxicity of meglumine antimoniate microspheres produced by spray drying on Leishmania infantum and the effect of the excipients used in them. The parasite strain shows sensitivity to the meglumine antimoniate microspheres prepared. All the antimony IC50 values from encapsulated meglumine antimoniate (3.80 +/- 0.34 to 9.53 +/- 0.70 microg SbV/ml for promastigotes assay) are considerably lower compared to the mean value of IC50 in Glucantime solution (112 +/- 12.74 microg SbV/ml). Interesting IC50 values for the excipient chitosan (112.64 +/- 0.53 mg/ml for promastigotes and 100.81 +/- 26.45 mg/ml for amastigotes) were obtained (without cytotoxic activity), whereas the rest of the excipients did not show any activity. This new delivery system could offer a new pharmacological tool for the treatment of leishmaniosis that reduces the doses required, lowering toxic side effects because of meglumine antimoniate.


Asunto(s)
Antiprotozoarios/farmacología , Antiprotozoarios/toxicidad , Leishmania infantum/efectos de los fármacos , Meglumina/farmacología , Meglumina/toxicidad , Microesferas , Compuestos Organometálicos/farmacología , Compuestos Organometálicos/toxicidad , Animales , Antimonio/farmacología , Antimonio/toxicidad , Células Cultivadas , Quitosano/farmacología , Quitosano/toxicidad , Femenino , Concentración 50 Inhibidora , Macrófagos Peritoneales/efectos de los fármacos , Antimoniato de Meglumina , Ratones , Pruebas de Sensibilidad Parasitaria
12.
Int J Pharm ; 355(1-2): 126-30, 2008 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-18206327

RESUMEN

Low chain liquid hydrocarbons (LH) at room temperature and atmospheric pressure can be used to simulate the effect of gas hydrocarbons (GH) in aerosol systems without the need of using pressured flasks. Samples of different tetracycline formulations were tested with LH and GH in order to study their behaviour and physicochemical stability in the system. The results showed a similar behaviour between samples when LH or GH were used, suggesting the use of LH to simulate the effect of GH introduction in the system, as a useful predictive method for the development of pressured aerosol formulations without using pressured containers in early steps of the process, such as pre-formulation studies.


Asunto(s)
Aerosoles/química , Hidrocarburos/química , Administración Tópica , Aerosoles/administración & dosificación , Fenómenos Químicos , Química Farmacéutica , Química Física , Gases , Nefelometría y Turbidimetría , Solventes , Drogas Veterinarias
13.
Environ Entomol ; 36(5): 1206-11, 2007 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-18284746

RESUMEN

To test the importance of flowering phenology in damage caused to apple cultivars by rosy apple aphid, Dysaphis plantaginea (Passerini) (Hemiptera: Aphididae), susceptibility of 16 cultivars was compared in greenhouse conditions after infestation with aptera and in the field after natural tree colonization. Flowering phenology was recorded in the field for all the cultivars. In both greenhouse and field trials, there were differences among cultivars with respect to aphid infestation and damage. However, damage in the greenhouse and field was not significantly correlated. Flowering phenology was also different among cultivars. Flowering order among cultivars was significantly negatively correlated with aphid infestation and damage in field, i.e., early leafing cultivars showed higher infestation and damage than late-leafing cultivars. If egg hatching occurs before bud bursting, neonate larvae will suffer a high mortality because they cannot feed on these late cultivars. A later recolonization of these trees is hampered because (1) winged aphids cannot live on apple but only on the secondary host, (2) apterous forms have a limited dispersal capability, and (3) aphid predators progressively increase in the orchard. Therefore, synchronization between egg hatching and bud bursting is of critical importance in the success or failure of infestation.


Asunto(s)
Áfidos/fisiología , Flores/fisiología , Interacciones Huésped-Parásitos/fisiología , Malus/fisiología , Malus/parasitología , Animales
14.
J Pharm Biomed Anal ; 42(2): 192-9, 2006 Sep 18.
Artículo en Inglés | MEDLINE | ID: mdl-16765013

RESUMEN

A methodology (by VICH guidelines) for the stability evaluation of amoxicillin in granular premixes is described. This method is based on the monitoring of the degradation products formed during the stability study by a new HPLC-RP method, which has been developed and validated for the simultaneous determination of amoxicillin and its degradation products. The method uses a Nucleosil 120 C18 column and gradient elution. The mobile phase consisted of a mixture of methanol and buffer solution pH 3+/-0.05 at different proportion according to a time-schedule programme, pumped at a flow rate of 1.750 ml min(-1). The DAD detector was set at 230 nm. The validation study was carried out fulfilling the VICH guidelines in order to prove that the new analytical method, meets the reliability characteristics, and these characteristics showed the capacity of analytical method to keep, throughout the time, the fundamental criteria for validation: selectivity, linearity, precision, accuracy, sensitivity (LOD, LOQ) and robustness. The method was applied during the stability study of an amoxicillin premix in order to quantify the drug (amoxicillin) and all its degradation products to evaluate the shelf life of the new veterinary dosage form. The method also proved to be suitable as a rapid and reliable quality control method.


Asunto(s)
Amoxicilina , Antibacterianos , Cromatografía Líquida de Alta Presión/métodos , Amoxicilina/análisis , Amoxicilina/normas , Antibacterianos/análisis , Antibacterianos/normas , Cromatografía Líquida de Alta Presión/veterinaria , Estabilidad de Medicamentos , Control de Calidad , Estándares de Referencia , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
15.
J Pharm Biomed Anal ; 39(5): 920-7, 2005 Oct 04.
Artículo en Inglés | MEDLINE | ID: mdl-16039086

RESUMEN

A new HPLC-RP method has been developed and validated for the simultaneous determination of benzocaine, two preservatives (propylparaben (nipasol) and benzyl alcohol) and degradation products of benzocaine in a semisolid pharmaceutical dosage form (benzocaine gel). The method uses a Nucleosil 120 C18 column and gradient elution. The mobile phase consisted of a mixture of methanol and glacial acetic acid (10%, v/v) at different proportion according to a time-schedule programme, pumped at a flow rate of 2.0 ml min(-1). The DAD detector was set at 258 nm. The validation study was carried out fulfilling the ICH guidelines in order to prove that the new analytical method, meets the reliability characteristics, and these characteristics showed the capacity of analytical method to keep, throughout the time, the fundamental criteria for validation: selectivity, linearity, precision, accuracy and sensitivity. The method was applied during the quality control of benzocaine gel in order to quantify the drug (benzocaine), preservatives and degraded products and proved to be suitable for rapid and reliable quality control method.


Asunto(s)
Anestésicos Locales/análisis , Benzocaína/análisis , Alcohol Bencilo/análisis , Parabenos/análisis , Tampones (Química) , Cromatografía Líquida de Alta Presión , Geles , Conservadores Farmacéuticos , Estándares de Referencia , Reproducibilidad de los Resultados , Adhesivos Tisulares
16.
J Pharm Biomed Anal ; 34(5): 979-87, 2004 Mar 10.
Artículo en Inglés | MEDLINE | ID: mdl-15019032

RESUMEN

A new analytical method is developed together with its latter validation study, by means of a high resolution liquid chromatography (HPLC) of reverse phase to quantify alprazolam (8-chloro-1-methyl-6-phenyl-4H-[1,2,4] triazole [4,3,-alpha]-[1,4] benzodiazepine) in tablets. Determination is carried out by means of an ODS C18 column (200 mm x 4.6 mm i.d., 5 microm particle size); the mobile phase consisted of a mixture of 0.02 M buffer solution of phosphates (pH 6.0) and acetonitrile (45:55, v/v). It is pumped through the chromatographic system at a flow rate of 0.50 ml min(-1). The UV detector is operated at 254 nm. The validation study is carried out fulfilling the ICH guidelines in order to prove that the new analytical method, meets the reliability characteristics, and these characteristics show the capacity of an analytical method to keep, throughout the time, the fundamental criteria for validation: selectivity, linearity, precision, accuracy and sensitivity. The method is applied during the working day for the quality control of commercial alprazolam tablets in order to quantify the drug and its degradation products and to check the content uniformity test.


Asunto(s)
Alprazolam/análisis , Tecnología Farmacéutica/métodos , Cromatografía Líquida de Alta Presión/métodos , Comprimidos , Tecnología Farmacéutica/instrumentación
17.
Drug Dev Ind Pharm ; 27(9): 965-73, 2001 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-11763475

RESUMEN

The study of formulation parameters in hydrophilic matrices of metoprolol tartrate by 2(3) factorial design wass made. We compared the dissolution profiles of two hydrophilic polymers (hydroxypropylmethylcellulose and hydroxyethylcellulose) at high and low concentrations and in the presence or absence of an insoluble excipient (calcium hydrogen phosphate dihydrate). The results showed that the presence of an insoluble excipient influenced almost all of the dissolution parameters.


Asunto(s)
Metoprolol/química , Área Bajo la Curva , Composición de Medicamentos , Excipientes , Metoprolol/administración & dosificación , Polímeros , Solubilidad
18.
An Esp Pediatr ; 39(5): 428-30, 1993 Nov.
Artículo en Español | MEDLINE | ID: mdl-8285457

RESUMEN

We have studied 115 patients infected with Helicobacter pylori (HP). Endoscopic nodular antritis and histologic lymphonodular hyperplasia was noted. The frequency of nodular antritis was compared between the 115 HP patients and a HP-negative age-matched control group. Nodular antritis was observed in 70.4% of the HP-positive patients and 11.3% of the HP-negative group (p <0.001). The specificity of nodular antritis was 86.1%. A significant association was found between the existence of nodular antritis and histologic lymphonodular hyperplasia (67.9%; p < 0.001). In conclusion, the endoscopic nodular antritis is a frequent and specific finding in children with HP infection and is associated with histologic lymphonodular hyperplasia.


Asunto(s)
Infecciones por Helicobacter/microbiología , Helicobacter pylori/aislamiento & purificación , Antro Pilórico/microbiología , Adolescente , Adulto , Niño , Preescolar , Endoscopía , Femenino , Mucosa Gástrica/patología , Infecciones por Helicobacter/diagnóstico , Infecciones por Helicobacter/patología , Humanos , Hiperplasia , Linfoma Folicular/complicaciones , Linfoma Folicular/diagnóstico , Linfoma Folicular/patología , Masculino
19.
An Esp Pediatr ; 39(4): 296-8, 1993 Oct.
Artículo en Español | MEDLINE | ID: mdl-8256947

RESUMEN

We have assessed the relationship between histologic findings and the Helicobacter pylori (HP) colonization in 115 patients (age: 9.8 +/- 3.5 years) with HP infection. Normal antral histology was found in 8.7% of the patients. Signs of histological activity were observed in 58.2% of the patients and glandular lesions in 3.5%. A significantly greater HP colonization was observed in patients with signs of histological activity (p < 0.001). A significant correlation was found between the HP colonization score and histological score (rs = 0.62) with a significant association between the degree of HP colonization and the histologic categories (p < 0.001).


Asunto(s)
Gastritis/microbiología , Gastritis/patología , Infecciones por Helicobacter/microbiología , Infecciones por Helicobacter/patología , Helicobacter pylori/aislamiento & purificación , Adolescente , Biopsia , Niño , Preescolar , Enfermedad Crónica , Úlcera Duodenal/microbiología , Úlcera Duodenal/patología , Femenino , Mucosa Gástrica/microbiología , Mucosa Gástrica/patología , Gastroscopía , Humanos , Masculino , Úlcera Gástrica/microbiología , Úlcera Gástrica/patología
20.
An Esp Pediatr ; 38(6): 525-8, 1993 Jun.
Artículo en Español | MEDLINE | ID: mdl-8368681

RESUMEN

We have analyzed the effect of treatment with colloidal bismuth subcitrate (CBS) and amoxicillin in a series of 60 children (age range: 2.9-18 years) infected by Helicobacter pylori (HP). The following results were found: clinical remission 70%; endoscopic normalization 55%; histological normalization 61.6% and HP eradication 53.3%. The improvement of histological activity (100% vs 11.7%) and histological normalization (90.6% vs 28.5%) were significantly more frequent in the HP eradicated group as compared with the persistent HP group (p < 0.001). The present study suggests that combined therapy with CBS and amoxicillin is not the most adequate treatment to eradicate HP in children and supports the role played by HP in the development of antral histologic lesions.


Asunto(s)
Amoxicilina/uso terapéutico , Infecciones por Helicobacter/tratamiento farmacológico , Helicobacter pylori/aislamiento & purificación , Compuestos Organometálicos/uso terapéutico , Adolescente , Antibacterianos/uso terapéutico , Niño , Preescolar , Quimioterapia Combinada , Femenino , Humanos , Masculino
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